Update on Chronic Kidney Disease

This program happened in the past, and no dates are currently scheduled.

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Conference ID

D6083

Purpose

Chronic Kidney Disease CKD and the resultant end-stage renal disease (ESRD) are significant global public health problems. According to the 2017 United States Renal Data System (USRDS) report, 14.8% (30 millions) of the adult U.S. general population has CKD and there were over 700,000 prevalent cases of ESRD (2015). There were 124,111 new ESRD cases in 2015 of which 87.3% were treated with hemodialysis, 9.6% peritoneal dialysis, and 2.5% pre-emptive transplants. One third of these patients did not receive pre-ESRD care. Kidney transplants numbered 18,805 with 1/3 being living donors. In 2015, the total Medicare spending for beneficiaries with kidney disease was nearly $100 billion. Between 2001 and 2015, adjusted mortality rates decreased by 28 percent for dialysis patients. The net reductions in mortality from 2001 to 2015 were 27 percent for hemodialysis patients and 41 percent for peritoneal dialysis patients. This conference will help professional care providers attain knowledge and skills to increase competency and improve CKD and ESRD care.

Credit

AMA

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Penn State College of Medicine and The Kidney Foundation of Central Pennsylvania. Penn State College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Penn State College of Medicine designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses using AMA Credit

Nurses will receive a certificate from Penn State College of Medicine verifying their participation in 6.5 hours of approved continuing medical education. Continuing education activities which are approved by accredited institutions of higher education and that are relevant to patient care or professional nursing meet the requirements of mandatory continuing education for registered nurses in Pennsylvania, as required by the Pennsylvania State Board of Nursing. The Board of Nursing recommends that nurses retain their certificates for a period of at least five years. Additional information is available through the State Board of Nursing.

Pennsylvania Academy of Nutrition & Dietetics

This program is acceptable for a maximum of 6.5 level 3 credits from the Commission on Dietetic Registration.

Social Work

Penn State is an approved provider as defined by Pa. Code Sections 47.36(a)(3), 48.36(a) (3), and 49.36(a)(3). Social workers, marriage and family therapists, and professional counselors licensed by the state of Pennsylvania can earn 6.5 clock hours of continuing education for completing this course.

Agenda

  • 7 a.m. | Registration / Continental Breakfast / Exhibitors
  • 7:45 a.m. | Welcoming Remarks
    Umar Farooq, MD, MS, FASN
  • 7:50 a.m. | Incremental Dialysis
    Tariq Shafi, MBBS, MHS
    Review the origins/history of dialysis.
    Recognize the critical importance of residual kidney function.
    Describe the role of incremental dialysis as a personalized management approach.
  • 8:50 a.m. | Burnout and Compassion Fatigue
    Emmanuelle Williams, MD
    Define burnout as it relates to the medical field.
    Recognize symptoms and consequences of burnout in medical professionals.
    Use current evidence to personalize burnout prevention and treatment strategies.
  • 9:20 a.m. | Break / Exhibitors
  • 9:35 a.m. | Return to Dialysis After Transplant Failure
    Nasrollah Ghahramani, MD
    Analyze the need for continued immunosuppression following graft failure.
    Identify the appropriate timing for return to dialysis following graft failure.
    Explain the prognosis of dialyzed patients following graft failure.
  • 10:05 a.m. | Dialysis and the Pregnant Patient
    Ronald Miller, MD, FACP
    Summarize the normal physiology of pregnancy.
    Describe the effect of end-stage renal disease on maternal and fetal outcomes.
    Compare and contrast the dialysis prescription in pregnant vs. non-pregnant patients.
  • 10:35 a.m. | Advocacy in Action
    Robin Asick, MSW, LSW, NSW-C
    Kristy Washinger, MSN, FNP-BC
    Describe your role as a legislative advocate for patients with kidney disease.
    Explain the purpose of the renal line item in the PA Governor’s budget and the goals of the state-funded program
    Outline strategies on successful advocacy plans.
    Describe resources for advocacy planning.
  • 11:05 a.m. | Awards for Clinical Excellence (ACE) / Updates / Highlights of Kidney Foundation
    Barbara Terry
    Joan Line, MPA
  • 11:20 a.m. | Lunch / Exhibitors
  • 12:20 p.m. | Controversies in the Management of Resistant Hypertension
    Moderator: Laurence Carroll, MD, FASN, FNKF
    Andrew Foy, MD
    Umar Farooq, MD, MS, FASN
    Describe how blood pressure targets apply to patients with resistant hypertension.
    Examine the role for percutaneous interventional strategies.
    Explain if there is currently any role for percutaneous interventional strategies
  • 1:20 p.m. | Hurricanes Irma and Maria – Lessons Learned
    Christopher Brown, BS
    Explain preparation activities and why they matter.
    Describe impacts of storms to dialysis patients and providers.
    Discuss response efforts and how to apply lessons learned.
  • 1:50 p.m. | Break/Exhibitors
  • 2 p.m. | How to Recruit and Maintain Patients on Peritoneal Dialysis
    Joanne Bargman, MD, FRCPC
    Discuss the importance of predialysis education to facilitate uptake onto home dialysis therapies.
    Describe a smooth transition onto peritoneal dialysis, including putting in a catheter that works.
    Explain incremental peritoneal dialysis and a patient-centered regimen.
  • 3 p.m. | How to Manage Dialysis-Dependent Acute Kidney Injury in the Outpatient Setting
    James Groff, DO, MACOI
    Identify common etiologies of acute kidney injury requiring dialysis.
    Recognize prognostic indicators of ESRD in the setting of acute kidney injury.
    Describe the appropriate dialysis prescription in acute kidney injury.
  • 3:30 p.m. |
    • Patient and Family Partner Program
      Tabitha Semancik, LSW, MSW
      Describe the services offered by Patient and Family Partner Program.
      Discuss the benefits of the Patient and Family Partner Program.
      Identify the role of the Patient and Family Partners.
    • Data Assessment Updates
      Nasrollah Ghahramani, MD
  • 4 p.m. | Adjournment

Faculty

Invited

Robin Asick, MSW, LSW, NSW-C
Social Worker
Fresenius Kidney Care
Harrisburg, PA

Joanne Bargman, MD, FRCPC
Professor of Medicine
University of Toronto
Staff Nephrologist
Director, Home Peritoneal Dialysis Program
University Health Network
Toronto, Ontario, CA

Christopher Brown, BS
Executive Director
End-Stage Renal Disease
Networks 3 and 4
Quality Insights
Harrisburg, PA

Laurence Carroll, MD, FASN, FNKF
Board of Directors
The Kidney Foundation of Central PA
Harrisburg, PA

Joan Line, MPA
Executive Director
The Kidney Foundation of Central PA
Harrisburg, PA

Tabitha Semancik, LSW, MSW
Program Coordinator
The Kidney Foundation of Central PA
Harrisburg, PA

Tariq Shafi, MBBS, MHS
Associate Professor of Medicine
Medical Director of Home Hemodialysis
Johns Hopkins University
Baltimore, MD

Barbara Terry
Board President
The Kidney Foundation of Central PA
Harrisburg, PA

Kristy Washinger, MSN, FNP-BC
Certified Registered Nurse Practitioner
Nephrology Associates of Central PA
Camp Hill, PA

Penn State Health Milton S. Hershey Medical Center

Umar Farooq, MD, MS, FASN
Assistant Professor of Medicine
Chair, Professional Symposium and Education Committee
Nephrology and Hypertension
Penn State College of Medicine

Andrew Foy, MD
Assistant Professor of Medicine and Public Health Sciences
Penn State College of Medicine
Penn State Heart and Vascular Institute

Nasrollah Ghahramani, MD
Professor of Medicine
Interim Chief of Nephrology
Vice Chair for Educational Affairs
Nephrology and Hypertension
Penn State College of Medicine

James Groff, DO, MACOI
Clinical Assistant Professor of Medicine
Penn State College of Medicine
Managing Partner
Hypertension Kidney Specialists
Lancaster, PA

Ronald Miller, MD, FACP
Associate Professor of Medicine
Program Director, Nephrology Fellowship
Penn State College of Medicine

Emmanuelle Williams, MD
Associate Professor of Medicine
Penn State College of Medicine

Fee

The fee is $85 per person, and includes instruction, all listed meals, online handout materials, refreshments.

Registrations received after April 23, 2018, will incur a $25 late fee.

Accommodations

Accommodations are the responsibility of program participants. A list of accommodations in the Hershey area is available on request or online. We recommend that you make reservations as early as possible.

Cancellation

Cancellations received after April 16, 2018, will incur a $25 processing fee.

No refunds after April 20, 2018.

Sponsor

A continuing education service of Penn State College of Medicine and The Kidney Foundation of Central PA, in collaboration with:

  • Lancaster General HealthEssa E. Flory Renal Dialysis Endowment
  • UMPC Pinnacle
  • Dialysis Care Center

Access (ADA)

Penn State encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of special accommodation or have questions about the physical access provided, please contact Continuing Education at least one week in advance of your participation or visit.

Changes

Content and speakers for all programs are subject to change. Registrants will be notified of any significant updates.

Disclosure and Conflict of Interest (COI and educational balance)

It is our policy to ensure balance, independence, objectivity, and scientific rigor in all of our educational programs. Faculty and course directors have disclosed relevant financial relationships with commercial companies, and Penn State has a process in place to resolve any conflict of interest. Complete faculty disclosure will be provided to program participants at the beginning of the activity.

University Nondiscrimination Policy

This publication is available in alternative media on request. The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, and employment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy or by state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, including harassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disability or handicap, genetic information, national origin, race, religious creed, sex, sexual orientation, gender identity, or veteran status and retaliation due to the reporting of discrimination or harassment. Discrimination, harassment, or retaliation against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding the Nondiscrimination Policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA 16802-5901; tel 814-863-0471/TTY. US M.Ed. D6083

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